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Cardiology

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Mitral Valve Prolapse

The mitral valve is located on the left side of the heart and separates the left atrium and the left ventricle. In some people, when the leaflets of the mitral valve close with each heartbeat, they protrude or prolapse back into the left atrium. If the valve seals shut each time the heart beats, there is no problem. Sometimes the valve leaflets protrude so much that the valve no longer shuts tight, allowing a leakage of blood backwards into the left atrium. This leakage is called Mitral Valve Insufficiency or Mitral Regurgitation.

Recently, Mitral Valve Prolapse is being diagnosed more often with the advances in cardiac echo (ultrasound). Because many children and adolescents are found to have Mitral Valve Prolapse on echo only, it is considered by some physicians to be a variation of “normal”. Children with this finding usually have no symptoms and if mild, there are no physical findings and no symptoms.

Treatment:

  • Not needed for children with Mitral Valve Prolapse on echo only.
  • Advised for children with physical, as well as echo evidence of Mitral Valve Prolapse. SBE prophylaxis is recommended in the form of antibiotics given at times of possible bacterial infection such as most dental work and some surgeries.

Activities:

  • Normal for all patient with no restrictions.


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